{"id":188,"date":"2017-11-27T05:47:29","date_gmt":"2017-11-27T05:47:29","guid":{"rendered":"https:\/\/blogs.bmj.com\/fg\/?p=188"},"modified":"2018-09-10T11:37:45","modified_gmt":"2018-09-10T11:37:45","slug":"when-food-gets-stuck","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/fg\/2017\/11\/27\/when-food-gets-stuck\/","title":{"rendered":"When food gets stuck&#8230;?"},"content":{"rendered":"<p>An 86-year-old woman with a background of ischaemic heart disease presented with dysphagia and odynophagia while eating toast for breakfast followed by sudden onset severe sharp retrosternal and epigastric pain radiating to her back and 3 episodes of coffee-ground vomiting. There were no reported episodes of melaena or syncope. She remained haemodynamically stable. Her blood results showed haemoglobin 125 g\/L, white cell count 11.2 x109\/L, platelets 277 x109\/L and prothrombin time 14s. She underwent emergency upper GI endoscopy. What do the images suggest?<a href=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/11\/Nov-phey-lee.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-189\" src=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/11\/Nov-phey-lee-240x300.png\" alt=\"\" width=\"588\" height=\"735\" srcset=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/11\/Nov-phey-lee-240x300.png 240w, https:\/\/blogs.bmj.com\/fg\/files\/2017\/11\/Nov-phey-lee-300x375.png 300w, https:\/\/blogs.bmj.com\/fg\/files\/2017\/11\/Nov-phey-lee.png 720w\" sizes=\"auto, (max-width: 588px) 100vw, 588px\" \/><\/a><\/p>\n<p>Phey Shen Lee<\/p>\n<p>Northumbria Healthcare NHS trust<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>An 86-year-old woman with a background of ischaemic heart disease presented with dysphagia and odynophagia while eating toast for breakfast followed by sudden onset severe sharp retrosternal and epigastric pain radiating to her back and 3 episodes of coffee-ground vomiting. There were no reported episodes of melaena or syncope. She remained haemodynamically stable. Her blood [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/fg\/2017\/11\/27\/when-food-gets-stuck\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":308,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10257,1],"tags":[],"class_list":["post-188","post","type-post","status-publish","format-standard","hentry","category-fgcaseofthemonth","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>When food gets stuck...? - Frontline Gastroenterology Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/fg\/2017\/11\/27\/when-food-gets-stuck\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"When food gets stuck...? - Frontline Gastroenterology Blog\" \/>\n<meta property=\"og:description\" content=\"An 86-year-old woman with a background of ischaemic heart disease presented with dysphagia and odynophagia while eating toast for breakfast followed by sudden onset severe sharp retrosternal and epigastric pain radiating to her back and 3 episodes of coffee-ground vomiting. There were no reported episodes of melaena or syncope. She remained haemodynamically stable. Her blood [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/fg\/2017\/11\/27\/when-food-gets-stuck\/\" \/>\n<meta property=\"og:site_name\" content=\"Frontline Gastroenterology Blog\" \/>\n<meta property=\"article:published_time\" content=\"2017-11-27T05:47:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-09-10T11:37:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/11\/Nov-phey-lee-240x300.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"When food gets stuck&#8230;?\",\"datePublished\":\"2017-11-27T05:47:29+00:00\",\"dateModified\":\"2018-09-10T11:37:45+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/\"},\"wordCount\":93,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/files\\\/2017\\\/11\\\/Nov-phey-lee-240x300.png\",\"articleSection\":[\"#FGCaseofthemonth\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/fg\\\/2017\\\/11\\\/27\\\/when-food-gets-stuck\\\/\",\"name\":\"When food gets stuck...? 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